Please use this identifier to cite or link to this item: doi:10.22028/D291-35969
Title: Heart-Focused Anxiety, General Anxiety, Depression and Health-Related Quality of Life in Patients with Atrial Fibrillation Undergoing Pulmonary Vein Isolation
Author(s): Pavlicek, Valérie
Wedegärtner, Sonja Maria
Millenaar, Dominic
Wintrich, Jan
Böhm, Michael
Kindermann, Ingrid
Ukena, Christian
Language: English
Title: Journal of Clinical Medicine
Volume: 11
Issue: 7
Publisher/Platform: MDPI
Year of Publication: 2022
Free key words: atrial fibrillation
pulmonary vein isolation
quality of life
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: (1) Background: Atrial fibrillation (AF) is associated with anxiety, depression, and chronic stress, and vice versa. The purpose of this study was to evaluate potential effects of pulmonary vein isolation (PVI) on psychological factors. (2) Methods: Psychological assessment was performed before PVI as well as after six months. (3) Results: A total of 118 patients [age 64 ± 9 years, 69% male, left ventricular ejection fraction 57 ± 8%, 56% paroxysmal AF] undergoing PVI were included. After PVI, significant improvements were observed in the mean total heart-focused anxiety (HFA) score, as well as in the Cardiac Anxiety Questionnaire (CAQ) sub-scores: HFA attention, HFA fear, and HFA avoidance scores. Subgroup analyses showed an association of improvement with freedom of documented AF recurrence. Mean scores of general anxiety and depression evaluated by the Hospital Anxiety and Depression Scale (HADS) decreased significantly after PVI in all subgroups regardless of AF recurrence. Further, both physical and mental composite scores of the Short Form Health Survey (SF-12) increased significantly from baseline. (4) Conclusions: PVI results in a significant reduction in HFA. Improvements in general anxiety and depressive symptoms did not seem to be related only to rhythm control per se. Therefore, CAQ may represent a more specific evaluation tool as HADS in patients with AF.
DOI of the first publication: 10.3390/jcm11071751
Link to this record: urn:nbn:de:bsz:291--ds-359692
ISSN: 2077-0383
Date of registration: 12-Apr-2022
Description of the related object: Supplementary Materials
Related object:
Faculty: M - Medizinische Fakultät
Department: M - Innere Medizin
Professorship: M - Prof. Dr. Michael Böhm
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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